Displaying 70351-70360 of 1611142 results.
ID:
70351
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1736044
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
70352
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
312845
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70353
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
312846
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70354
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
283858
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70355
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
562704
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70356
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
312849
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70357
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
997229
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
70358
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
997223
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
70359
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
993503
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70360
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
993518
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
70351703527035370354703557035670357703587035970360